MEDICARE: ROBIN THAD GOODWIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME0037950	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558353748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN THAD GOODWIN M.D.

Provider Business Mailing Address
First Line	:	1510 ROYAL PALM SQUARE BLVD
Second Line	:	STE 106
City	:	FORT MYERS
State	:	FL
Zip	:	33919-1068
Country	:	US
Telephone Number	:	239-939-3937
Fax Number	:	239-275-8045

Provider Business Practice Location Address
First Line	:	1510 ROYAL PALM SQUARE BLVD
Second Line	:	STE 106
City	:	FORT MYERS
State	:	FL
Zip	:	33919-1068
Country	:	US
Telephone Number	:	239-939-3937
Fax Number	:	239-275-8045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	10/04/2011

Similar Medicare Providers

1588682728 — DR. JOSEPH G MAGNANT M.D.
Practice Location Address:

1510 ROYAL PALM SQUARE BLVD , SUITE 101
FORT MYERS, FL
33919-1068

Practice Phone: 239-694-8346
Practice Fax: 239-936-6272

1780891424 — HEALTHSPOT PHYSICAL THERAPY & FITNESS, INC
Practice Location Address:

1510 ROYAL PALM SQUARE BLVD , SUITE 105
FORT MYERS, FL
33919-1068

Practice Phone: 239-274-7008
Practice Fax: 239-274-7070

1285813410 — R THAD GOODWIN MD PA
Practice Location Address:

1510 ROYAL PALM SQUARE BLVD , STE 106
FORT MYERS, FL
33919-1068

Practice Phone: 239-939-3937
Practice Fax: 239-275-8045

1124205349 — VEIN SPECIALISTS AT ROYAL PALM SQUARE INC
Practice Location Address:

1510 ROYAL PALM SQUARE BLVD , STE. 101
FORT MYERS, FL
33919-1068

Practice Phone: 239-694-8346
Practice Fax: 239-936-6272

1871807420 — ROBERT M MANDELKORN, M.D., INC.
Practice Location Address:

1510 ROYAL PALM SQUARE BLVD , STE 106
FORT MYERS, FL
33919-1068

Practice Phone: 239-939-3937
Practice Fax: 239-275-8045

1134877244 — ANDREA BUSBEE PA-C
Practice Location Address:

1510 ROYAL PALM SQUARE BLVD STE 105
FORT MYERS, FL
33919-1068

Practice Phone: 239-245-8899
Practice Fax:

Directions to “ ROBIN THAD GOODWIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.